How much rates vary
Facilitymedian $209 · 10th to 90th $135 to $832Professionalmedian $363 · 10th to 90th $251 to $479
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $398.11 Median $1,318.26 Typical High $3,715.35 | Facility | None | $398.11 | $1,318.26 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $354.81 Typical High $446.68 | Professional | None | $316.23 | $354.81 | $446.68 |
Ambetter Setting Professional Modifier None Typical Low $331.13 Median $549.54 Typical High $549.54 | Professional | None | $331.13 | $549.54 | $549.54 |
BCBS Louisiana Setting Facility Modifier None Typical Low $144.54 Median $245.47 Typical High $537.03 | Facility | None | $144.54 | $245.47 | $537.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $338.84 Median $436.52 Typical High $478.63 | Professional | None | $338.84 | $436.52 | $478.63 |
Christus Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $114.82 Typical High $229.09 | Facility | None | $75.86 | $114.82 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $380.19 Typical High $512.86 | Professional | None | $295.12 | $380.19 | $512.86 |
United Setting Facility Modifier None Typical Low $91.20 Median $363.08 Typical High $1,202.26 | Facility | None | $91.20 | $363.08 | $1,202.26 |
United Setting Professional Modifier None Typical Low $229.09 Median $281.84 Typical High $478.63 | Professional | None | $229.09 | $281.84 | $478.63 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $177.83 Typical High $223.87 | Professional | 52 · Reduced service | $158.49 | $177.83 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $70.79 Typical High $89.13 | Professional | 53 · Discontinued | $63.10 | $70.79 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $269.15 Typical High $331.13 | Professional | 54 · Surgery only | $239.88 | $269.15 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $53.70 Typical High $66.07 | Professional | 55 · Aftercare only | $47.86 | $53.70 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $35.48 Typical High $44.67 | Professional | 56 · Pre-op care only | $31.62 | $35.48 | $44.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $251.19 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $223.87 | $251.19 | $309.03 |
Where Louisiana sits
The same service costs 6.4 times more in Colorado than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
CO $2,602FL $408
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.